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Resident Satisfaction with Feedback Quantity on Best and Worst Rotations.
Andrada Diaconescu1, Erin White1, M Chandler McLeod1
1From the Department of Surgery, University of Alabama at Birmingham, Birmingham, AL (Diaconescu, White, McLeod, Muñoz Wilson, Lindeman).
Journal of the American College of Surgeons
|January 23, 2026
Summary
General surgery residents report higher satisfaction with feedback when they receive more frequent microassessments (MAs) through entrustable professional activities (EPAs). This is especially true on rotations where alternative feedback is lacking, highlighting the importance of structured feedback for resident development.
Area of Science:
- Medical Education
- Surgical Training
- Healthcare Feedback Systems
Background:
- General surgery residents frequently report inadequate feedback.
- Entrustable professional activities (EPAs) offer a framework for frequent, structured feedback via microassessments (MAs).
Purpose of the Study:
- To investigate the association between the frequency of EPA microassessments and resident satisfaction with feedback.
Main Methods:
- A survey was administered to general surgery residents post-exam in January 2025.
- Residents reported feedback frequency, EPA MA frequency, and satisfaction levels on best and worst rotations.
- Multivariable analyses examined the relationship between EPA MA frequency and feedback satisfaction.
Main Results:
- 82% of 10,404 residents participated; 74.4% received at least one EPA MA per rotation.
- Increased EPA MA frequency correlated with higher feedback satisfaction (p<0.001).
- Residents were more satisfied with feedback on best rotations, even without MAs, but MAs improved satisfaction on worst rotations.
Conclusions:
- Higher frequency of self-reported EPA MAs is linked to improved resident feedback satisfaction.
- Receiving at least one EPA MA weekly is particularly beneficial.
- EPA MAs significantly enhance feedback satisfaction on rotations lacking alternative feedback methods.
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